The Claims Business Analyst is responsible for having detailed knowledge of all Claims Department workflows, all internal/external data feeds and in depth knowledge of all operational aspects of systems utilized by the Claims Department. The Claims Business Analyst will have knowledge of workers’ compensation claims case management/laws and will have solid working knowledge of the needs of all key functional groups within the department. This knowledge will be translated into in depth business requirement stories which will be used as requirement descriptions for software/system development. The focus is to help deliver an efficient and effective workflow experience to all Claims Department personnel.

This position will analyze, investigate, and make recommendations with respect to system performance, system implementation of department workflows and will require troubleshooting/problem solving skills. In addition, the Claims Business Analyst will work closely with key personnel throughout the organization to ensure that changes to Claims Systems do not negatively impact other groups within the organization. The Claims Business Analyst will work most closely with the IT Business Systems Analyst assigned to systems in the Claims Department.

The role of the Claims Business Analyst is one that requires the ability to manage complex systems and workflows from the macro level down to individual system field level detail. The position carries with it the responsibility to demonstrate strong interpersonal, negotiation and collaboration skills. It is essential that the Claims Business Analyst demonstrate curiosity and a willingness to ask tough questions. The Claims Business Analyst must be detail oriented and adept at writing business requirements that describe operations with significant depth and detail.

RESPONSIBILITIES:

Analyzes claims department workflows and needs to develop detailed product stories that best describe the needs of the end user.

Detailed knowledge of all internal/external data feeds.

Thorough knowledge of the claims operation and all areas that are touched by systems.

Problem solving and troubleshooting system issues.

Work closely and in a collaborative manner with the IT Business Systems Analyst.

Management of complex systems with a focus on key details while keeping track of the big picture.

Making the best decisions possible given the information/resources available with an eye to the core values of the organization.

Document in detail and with precision all department processes/procedures.

Testing solutions to ensure that they cover the desired requirements.

MINIMUM REQUIREMENTS:

Knowledge of insurance principles and laws for workers’ compensation, preferred

Curiosity and the willingness to ask questions

Strong written and verbal communication skills

Strong organizational skills

Strong negotiation skills

Strong analytical and interpretive skills

PC literate

Baccalaureate degree from an accredited college or university preferred

Requires moderate supervision with the ability to work independently, but understands the need to continuously communicate changes/updates to management.